| NPI | 1174786511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M GOFF Office Manager 260-485-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-12-09 |