| NPI | 1801078274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MULLIN Owner 765-447-6323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |