| Organization Name: | MEDICAL NUTRITIONAL SERVICES, INC. |
| NPI Number: | 1346240744 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD HANSINGER (CONTROLLER) |
| Mailing Address: | 44752 Morley Dr Clinton Twp |
| State: | MI US |
| Postal Code: | 480361357 |
| Phone Number: | 5864690060 |
| Fax Number: | 5864690111 |
| NPI Enumeration Date: | 07/28/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | ME0113181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |