Organization
MOBILE MEDICAL MAINTENANCE, LLC
Active
Organization
MOBILE MEDICAL MAINTENANCE, LLC
Active
Other names
Pediatric Home Service
Organization subpart
No
Provider details
NPI number
Authorized official
CAMEO ZEHNDER JD (CHIEF ADMINISTRATIVE OFFICER)
(651) 604-5165
Entity
Organization
Contact information
Practice address
383 W WASHINGTON CENTER RD, FORT WAYNE, IN 46825
(260) 627-5108
(517) 659-5906
Mailing address
383 W WASHINGTON CENTER RD, FORT WAYNE, IN 46825-4313
(260) 627-5108
(517) 659-5906
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540C811820
BLUE CROSS BLUE SHIELS
MI
Enumeration date
11/17/2006
Last updated
12/04/2025
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