| NPI | 1033440797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DEAN SHELLEY President 317-862-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000668A) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-11-12 |