# PULASKI MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Majestic Care of West Allen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336548353
- **Authorized official:** MR. GREGG A. MALOTT (DIRECTOR OF BUSINESS DEVELOPMENT)
- **Authorized official phone:** (574) 946-2100

## Contact information

- **Practice address:** 6050 S CR 800 E-92, FORT WAYNE, IN 46814-9201
- **Practice address phone:** (260) 625-3545
- **Practice address fax:** (260) 625-4993
- **Mailing address:** 6050 S CR 800 E-92, FORT WAYNE, IN 46814-9201
- **Mailing address phone:** (260) 625-3545
- **Mailing address fax:** (260) 625-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 14-000215-1 | IN | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 05/02/2019