| NPI | 1073841953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD DEAN JAMES CEO/Owner/Operator 317-594-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2012-03-14 |