| NPI | 1184243206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN H PARK President/CEO 317-580-6303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |