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Organization

SCOOTER WAREHOUSE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA K. MOORE (PRESIDENT)
(574) 299-8606
Entity
Organization

Contact information

Practice address
225 E JEFFERSON ST, PLYMOUTH, IN 46563-1857
(574) 936-2540
(574) 936-2540
Mailing address
4011 S MICHIGAN ST, SOUTH BEND, IN 46614-2543
(574) 299-8606
(574) 299-0538

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/17/2008
Last updated
10/02/2009
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