| NPI | 1093015752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. WILLIAM COREY President 765-230-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |