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General NPI Number Information
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NPI Number | 1811879000
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Entity Type | Organization
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Legal Business Name | MM FAMILY SUPPORT SERVICES, INC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 5935 E 27TH ST BLDG 2
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City | INDIANAPOLIS
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State | IN
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Zip | 46218-3311
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Country | US
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Telephone | 317-408-7848
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Fax | 317-545-6170
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Provider Business Mailing Address
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Address Line | 5935 E 27TH ST BLDG 2
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City | INDIANAPOLIS
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State | IN
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Zip | 46218-3311
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Country | US
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Telephone | 317-408-7848
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Fax | 317-545-6170
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Authorized Official
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Title or Position | CO-OWNER
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Name | MICHELLE JOHNSON
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Credential |
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Telephone | 317-408-7848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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