Organization
DIABETIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED BALLOU (OWNER)
(877) 686-3600
Entity
Organization
Contact information
Practice address
240 N MORTON ST, SHIPSHEWANA, IN 46565
(877) 686-3600
(260) 768-4111
Mailing address
P.O. BOX 1081, 305 E MAIN ST, SHIPSHEWANA, IN 46565
(877) 686-3600
(260) 768-4111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874879620
—
MI
Enumeration date
10/02/2006
Last updated
05/26/2011
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