| NPI | 1063511780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DAVID ALLEN Member 574-583-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |