Organization
PREVAIL PROSTHETICS AND ORTHOTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI HUDSON (BUSINESS MANAGER)
(260) 459-2529
Entity
Organization
Contact information
Practice address
1270 N STATE ST, GREENFIELD, IN 46140-1055
(463) 895-7701
(463) 895-7702
Mailing address
7735 W JEFFERSON BLVD STE C, FORT WAYNE, IN 46804-4135
(260) 483-5219
(260) 203-2155
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
01/15/2024
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