Midwest Residential Services, Inc.

NPI #1285846360 in Indianapolis, Indiana

Provider Information

NPI Number
1285846360
Entity Type
Organization
Organization Name
Midwest Residential Services, Inc.
Primary Specialty
Preferred Provider Organization
Enumeration Date
May 3, 2007
Last Updated
Feb 20, 2008

Practice Location

Address
2425 N. MERIDIAN STREET, SUITE B
State
Indiana
ZIP Code
46208
Phone
(317) 920-9352

Authorized Official

Name
RONNIE K TAYLOR
Title
PRESIDENT
Phone
(317) 508-5937

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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