| NPI | 1407911050 |
|---|---|
| Doing Business As | CONVALESCENT SHOP |
| Entity Type | Organization |
| Authorized Contact | THOMAS J HANCHAR President 260-436-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-08-24 |