| NPI | 1336899194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ADDINGTON Director Of Compliance 317-536-4870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2024-01-30 |