| NPI | 1578519039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI LOPES Owner 574-255-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0122739876) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-06-13 |