| NPI | 1033492996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L GOLDMAN Director Of Contracting 317-333-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-10-18 |