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General NPI Number Information
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NPI Number | 1669546370
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Entity Type | Organization
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Legal Business Name | MOBILE MEDICAL MAINTENANCE, LLC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 383 W WASHINGTON CENTER RD
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City | FORT WAYNE
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State | IN
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Zip | 46825
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Country | US
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Telephone | 260-627-5108
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Fax | 517-659-5906
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Provider Business Mailing Address
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Address Line | 383 W WASHINGTON CENTER RD
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City | FORT WAYNE
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State | IN
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Zip | 46825-4313
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Country | US
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Telephone | 260-627-5108
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Fax | 517-659-5906
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | CAMEO ZEHNDER
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Credential | JD
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Telephone | 651-604-5165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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