| NPI | 1578606075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN COCANOWER President 812-473-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0111420156) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |