| NPI | 1659511293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON CLOW Owner 574-298-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |