| NPI | 1316198633 |
|---|---|
| Doing Business As | STATELINE MEDICAL EQUIPMENT |
| Entity Type | Organization |
| Authorized Contact | RANCER L HUNTINGTON Owner/Operator 765-488-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2016-05-05 |