| NPI | 1760786222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A BOLINGER LLC Owner 260-492-1752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: DE 1954) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |