Provider Demographics
NPI:1689488462
Name:MOREMI RESIDENTIAL SERVICES
Entity type:Organization
Organization Name:MOREMI RESIDENTIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AYODEJI
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:260-435-9402
Mailing Address - Street 1:5904 THOREAU AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46815-6249
Mailing Address - Country:US
Mailing Address - Phone:260-435-9402
Mailing Address - Fax:
Practice Address - Street 1:5904 THOREAU AVE
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46815-6249
Practice Address - Country:US
Practice Address - Phone:260-435-9402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances