| NPI | 1114993490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN STEWART COO Hme 317-621-4810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 69000274A) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 251F00000X Home Infusion (Licence: IN 60004988A) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2019-07-11 |