| NPI | 1053498774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN BOXELL CEO 317-787-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000197A) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-04-14 |