NPI | 1215102066 |
---|---|
Doing Business As | SAINT JOHN'S MEDICAL SUPPLIES |
Entity Type | Organization |
Authorized Contact | DANTE O PHILLIPS Director 765-683-3201 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IN 69000392A) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2010-03-16 |