Organization
MAXCARE ORTHOTICS AND PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A HAINES CO (PRESIDENT)
(574) 267-5852
Entity
Organization
Contact information
Practice address
3610 NEW VISION DR, FORT WAYNE, IN 46845-1706
(260) 489-2727
(260) 489-2777
Mailing address
3159 E CENTER STREET EXT, WARSAW, IN 46582-3901
(260) 489-2727
(260) 489-2777
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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