| NPI | 1336130608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM RAY HALL Owner 317-535-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0115153918) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-08-22 |