Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Make Mi Gorgeous

Organization Customized Equipment (DME) · NPI 1134008097

Make Mi Gorgeous is a Customized Equipment (DME) in Fort Wayne, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3212 Mallard Cove Ln Ste B
Fort Wayne, IN 46804-2883
Phone: (260) 258-6237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1134008097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Craig — Ceo · (260) 258-6237
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address920 Clayburn Dr, Fort Wayne, IN 46819-1431

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