Provider Demographics
NPI:1114007309
Name:MID-LAND MEALS, INC.
Entity Type:Organization
Organization Name:MID-LAND MEALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:BROVONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-477-7189
Mailing Address - Street 1:3313 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-5127
Mailing Address - Country:US
Mailing Address - Phone:765-477-7189
Mailing Address - Fax:765-477-1598
Practice Address - Street 1:3313 CONCORD RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-5127
Practice Address - Country:US
Practice Address - Phone:765-477-7189
Practice Address - Fax:765-477-1598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
Not Answered332U00000XSuppliersHome Delivered Meals