| NPI | 1649572256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARIE SUZANNE CONARD Owner 574-231-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |