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Organization
MIDWEST RESIDENTIAL SERVICES, INC.
Active
Organization
MIDWEST RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE K TAYLOR (PRESIDENT)
(317) 508-5937
Entity
Organization
Contact information
Practice address
2425 N. MERIDIAN STREET, SUITE B, INDIANAPOLIS, IN 46208
(317) 920-9352
(317) 920-9367
Mailing address
2425 N. MERIDIAN STREET, SUITE B, INDIANAPOLIS, IN 46208
(317) 920-9352
(317) 920-9367
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
IN
Other
Enumeration date
05/03/2007
Last updated
02/20/2008
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