| NPI | 1336236025 |
|---|---|
| Doing Business As | SAINT JOHN'S MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | DANTE O PHILLIPS Dme Consultant 765-683-3201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000167A) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 69000167A) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2011-08-09 |