NPI | 1114623089 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY L MITCHELL President 812-306-7213 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2023-02-02 |
Last Update Date | 2023-02-13 |