| NPI | 1528001658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E MCKERNAN Administrator 269-373-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-08-04 |