Graduated: 1981
NPI: 1790893147
Practice Locations (3)
2060 W 175, COMMUNITY LIVING INC
ANGOLA, IN 467037117
2606657681
2237 ENGLE RD
FORT WAYNE, IN 468091404
2607472353
8515 BLUFFTON RD
FORT WAYNE, IN 468093022
2607446145
Source: CMS National Downloadable File, September 2026.