| NPI | 1922196229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LONG CEO 574-583-7111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 60004820A) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-09-28 |