| NPI | 1144415142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE COWAN Managing Pa RN Ter 260-482-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2012-07-10 |