| NPI | 1851614192 |
|---|---|
| Doing Business As | SAINT JOHN'S MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | DANTE OTIS PHILLIPS Dme Consultant 765-683-3201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000392A) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2011-12-20 |