| NPI | 1417672411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTY FIESTER Operations Manager 812-303-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2026-02-03 |