NPI 1285846360

Midwest Residential Services, INC.

Organisation Preferred Provider Organization Indianapolis, IN

Practice location

Address: 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208
Phone: (317) 920-9352
Fax: (317) 920-9367

Authorised official

Name: Ronnie K Taylor
Title: President
Phone: (317) 508-5937

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1285846360
Entity type: Organization
NPI issued: 3 May 2007
Record last updated: 20 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.