| NPI | 1164723722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI GOLDMAN Director Of Contracting 317-333-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2012-02-07 |