Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
Majestic Care of Fort Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG A MALOTT (CHIEF FINANCIAL OFFICER)
(574) 946-2103
Entity
Organization
Contact information
Practice address
7519 WINCHESTER RD., FORT WAYNE, IN 46819-2242
(260) 747-7435
(260) 747-9282
Mailing address
7519 WINCHESTER RD., FORT WAYNE, IN 46819-2242
(260) 747-7435
(260) 747-9282
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
15-000250-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289980
—
IN
05
—
100289980A
—
IN
Enumeration date
06/03/2006
Last updated
05/19/2026
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