| NPI | 1174705727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM WILSON BRAZUS President 317-872-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 1295640001) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-10 |