| NPI | 1427167154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALEN GENE SPAW Co Owner 260-490-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |