| NPI | 1578733531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH TAYLOR Insurance 574-255-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 18002941B) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-04-03 |