| NPI | 1043293392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GRUNDMAN President 812-882-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2010-01-22 |