| Organization Name: | HOMEFRONT FAMILY SERVICES |
| NPI Number: | 1073789467 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY ELLIS (OWNER) |
| Mailing Address: | 9909 E 100 S Greentown |
| State: | IN US |
| Postal Code: | 469369163 |
| Phone Number: | 7656280605 |
| Fax Number: | 7656283639 |
| NPI Enumeration Date: | 05/05/2008 |
| NPI Last Update Date: | 05/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | 37001000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |