| NPI | 1619045317 |
|---|---|
| Doing Business As | HOME CARE DIABETES SUPPLY |
| Entity Type | Organization |
| Authorized Contact | ROSE MARIE CHENAULT Manager 618-277-1628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-09-16 |