| NPI | 1174964431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A HARTLEY CEO 317-333-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |