| NPI | 1053599613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG CONRAD VP & General Mgr 1574-647-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000137A) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IN 10-012264-1) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2010-09-20 |