| NPI | 1316072804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KAY FISCHER Practice Administrator 812-376-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-12-16 |