| NPI | 1801046313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY L MUNRO Owner 765-362-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0002105055) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2011-03-16 |