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Organization
MMS FT. WAYNE, INC
Active
Organization
MMS FT. WAYNE, INC
Active
Other names
MAJORS MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA EILEEN BOBAY RFM (OWNER/VICE-PRESIDENT)
(260) 637-8586
Entity
Organization
Contact information
Practice address
14601 LIMA RD, FORT WAYNE, IN 46818-9585
(260) 637-8585
(260) 637-1927
Mailing address
14601 LIMA RD, FORT WAYNE, IN 46818-9585
(260) 637-8585
(260) 637-1927
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
69000007A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69000007A
STATE LICENSE
IN
Enumeration date
07/22/2006
Last updated
08/22/2020
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