| NPI | 1104605922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GEARHEART President 317-813-4210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2024-01-25 |