| 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 |