| NPI | 1043583990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN HARGADINE Owner 317-708-3409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-05-12 |