| NPI | 1194027946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA HATHAWAY Credentialing Officer 260-490-6970 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |