| NPI | 1114989712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHARD GRAVES Owner 317-641-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0119124416) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2009-05-20 |