| NPI | 1396950754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A MILLER Member 574-255-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-18 |