| NPI | 1114336690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M PAGE President 317-773-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IN 12007050A) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-15 |