| NPI | 1295370419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIA FISHER Credentialing Specialist 812-962-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2022-11-02 |