Organization
MIDLAND HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY JEAN HAYWORTH (ADMINISTRATOR)
(317) 257-2201
Entity
Organization
Contact information
Practice address
3940 E 56TH ST, INDIANAPOLIS, IN 46220-5541
(317) 257-2201
(317) 254-2112
Mailing address
3940 E 56TH ST, INDIANAPOLIS, IN 46220-5541
(317) 257-2201
(317) 254-2112
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
02/27/2008
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