| NPI | 1316138464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE CHRISTIAN LINDLEY Owner 765-963-4086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |