| NPI | 1215087002 |
|---|---|
| Doing Business As | SAINT JOHNS MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | DANTE O PHILLIPS Director 765-683-3201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000167A) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-12-20 |