NPI | 1245776913 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM WESLEY KIRK Member Manager 317-372-1445 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2017-01-18 |
Last Update Date | 2017-01-18 |