Organization
BEST NUTRITION SERVICES OF INDIANA, LLC
Active
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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