Organization
MORAL TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY JOHNSON (TRUSTEE)
(317) 835-2581
Entity
Organization
Contact information
Practice address
8333 N. FRONTAGE ROAD, FAIRLAND, IN 46126-9481
(317) 835-2581
(317) 849-6632
Mailing address
8333 N. FRONTAGE ROAD, FAIRLAND, IN 46126-9481
(317) 835-2581
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0607
IN
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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