| NPI | 1306963525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A BURNS Member 317-885-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |