| NPI | 1891782827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MOORE President 574-299-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000243A) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2009-10-02 |