Provider Demographics
NPI:1669503231
Name:MEALS ON WHEELS OF NW INDIANA
Entity Type:Organization
Organization Name:MEALS ON WHEELS OF NW INDIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-756-3663
Mailing Address - Street 1:8446 VIRGINIA ST.
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410
Mailing Address - Country:US
Mailing Address - Phone:219-756-3663
Mailing Address - Fax:219-756-3775
Practice Address - Street 1:8446 VIRGINIA ST.
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410
Practice Address - Country:US
Practice Address - Phone:219-756-3663
Practice Address - Fax:219-756-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health