| NPI | 1043489222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MCGINLEY President 317-813-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20190388) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2012-10-05 |