NPI | 1174706204 |
---|---|
Former Legal Business Name | DIABETIC CENTER |
Entity Type | Organization |
Authorized Contact | ALICE CAROLE SMITH Owner 269-383-2350 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-12-12 |
Last Update Date | 2008-03-17 |