| NPI | 1144398751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA B JOHNSON Office Manager 317-704-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000082A) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |