| NPI | 1063654507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN H PARK President And CEO 317-580-6314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2020-09-11 |