| NPI | 1922485440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD P WARREN Owner 574-679-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |