| NPI | 1255525416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI DAVIS Treasurer 317-773-9143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 17001105A) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-10-27 |