# PULASKI MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Majestic Care of Fort Wayne
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235177981
- **Authorized official:** MR. GREGG A MALOTT (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (574) 946-2103

## Contact information

- **Practice address:** 7519 WINCHESTER RD., FORT WAYNE, IN 46819-2242
- **Practice address phone:** (260) 747-7435
- **Practice address fax:** (260) 747-9282
- **Mailing address:** 7519 WINCHESTER RD., FORT WAYNE, IN 46819-2242
- **Mailing address phone:** (260) 747-7435
- **Mailing address fax:** (260) 747-9282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 15-000250-1 | IN | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 05/19/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100289980 | — | IN |
| 05 | — | 100289980A | — | IN |