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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