| NPI | 1215081815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN HATTON Manager 812-339-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000177A) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IN 69000177A) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: IN 69000177A) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IN 69000177A) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 69000177A) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |