| NPI | 1356877443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA GUEST President 317-960-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 201705011193542) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |