# PULASKI MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Majestic Care of Jefferson Pointe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740315878
- **Authorized official:** MR. GREGG A MALOTT (CFO)
- **Authorized official phone:** (574) 946-2100

## Contact information

- **Practice address:** 5700 WILKIE DRIVE, FORT WAYNE, IN 46804-1662
- **Practice address phone:** (260) 432-7556
- **Practice address fax:** (260) 436-0386
- **Mailing address:** 5700 WILKIE DRIVE, FORT WAYNE, IN 46804-1662
- **Mailing address phone:** (260) 432-7556
- **Mailing address fax:** (260) 436-0386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 07-000476-1 | IN | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 05/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100290870 | — | IN |