| NPI | 1013002963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BENSON Interim CEO/Medical Director 317-580-6304 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-12-08 |