NPI | 1538112297 |
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Doing Business As | CONVALESCENT SHOP |
Entity Type | Organization |
Authorized Contact | THOMAS J. HANCHAR President / CEO 260-436-8881 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2007-08-24 |