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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