| NPI | 1407882236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA K CHANDLER Administrative Assistant 574-269-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0191420001) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-10-11 |