| NPI | 1265480982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND FRESHOUR President/Owner 574-522-5706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0122971078) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |