| NPI | 1538212345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN KOLLIPARA Owner 260-969-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-08-02 |