| NPI | 1265571939 |
|---|---|
| Doing Business As | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | CAMILLUS RICHARD INYANG President 317-280-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000203A) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-09-14 |