| NPI | 1295922094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEA L TRAVIS Vice President 269-372-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |