| NPI | 1255421400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF LUNDY President 317-849-0654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0118003038) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-09-13 |