| NPI | 1629327739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R LADD Owner 765-455-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2013-01-02 |