INDIANA MOTHERS' MILK BANK INC NPI 1790964914

NPI Information

INDIANA MOTHERS' MILK BANK, INC is a parenteral and enteral nutrition durable medical equipment medical supplies in Indianapolis, IN. INDIANA MOTHERS' MILK BANK, INC NPI is 1790964914. The provider is registered as an organization entity type.

The provider's business location address is:

6820 PARKDALE PL
SUITE 109
INDIANAPOLIS, IN
ZIP 46254-601
Phone: (317) 329-7146
Fax: (317) 329-7151

The provider's authorized official is Dane Nutty .
The authorized official title is Program Coordinator and has the following contact phone number (317) 329-7146.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 4/20/2008.

Taxonomy Codes

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