| NPI | 1275059958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD L COOPER President 260-436-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 50002482A) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |