Organization
MANITOU HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWN BRYANT (OWNER/CONTACT PERSON)
(574) 353-7638
Entity
Organization
Contact information
Practice address
6879 E 400 N, ROCHESTER, IN 46975-8560
(574) 353-7638
Mailing address
6879 E 400 N, ROCHESTER, IN 46975-8560
(574) 353-7638
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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