| NPI | 1013118314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM A FOOTE Administrator 317-888-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 01036081A) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-02-12 |