| NPI | 1063609113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL JAMES MOSIER President 269-382-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2022-12-07 |