| NPI | 1154904126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMINICA RUFFIN-JONES Manager 260-572-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |