Organization
MAIL ORDER INCONTINENT SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYDONNE NEWLAND (MANAGER)
(317) 203-0630
Entity
Organization
Contact information
Practice address
8470 ALLISON POINTE BLVD, SUITE 100, INDIANAPOLIS, IN 46250-4364
(317) 203-0630
(317) 203-7077
Mailing address
8470 ALLISON POINTE BLVD, SUITE 100, INDIANAPOLIS, IN 46250-4364
(317) 203-0630
(317) 203-7077
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200903660A
—
IN
Enumeration date
06/11/2008
Last updated
08/26/2008
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