| NPI | 1124128244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY MARTIN President 812-234-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IN 69000042A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000042A) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: IN 69000042A) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-11-30 |