Organization
BEST NUTRITION SERVICES OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCINDA SUE MILLER RD, CDE (DIETITIAN)
(317) 509-4018
Entity
Organization
Contact information
Practice address
9608 NORTH CRAWFORD STREET, KNIGHTSVILLE, IN 47857
(317) 509-4018
Mailing address
9608 N CRAWFORD STREET, KNIGHTSVILLE, IN 47857
(317) 509-4018
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
37000533A
IN
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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