| NPI | 1376073031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GEARHEART President 317-813-4210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 0122709896) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-05-29 |