| NPI | 1174871768 |
|---|---|
| Doing Business As | PROFESSIONAL DIABETES CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD GRAVES Mgr 317-924-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2013-12-27 |