| NPI | 1538112297 |
|---|---|
| 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 | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-08-24 |