| NPI | 1346412863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH LOOTENS Owner 537-635-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |