| NPI | 1457534125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC E DALE President 765-662-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 18001734B) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2014-10-08 |