| NPI | 1518323195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA NICOLINI President/CEO 574-993-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2021-02-10 |