| NPI | 1427499912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY L BUCKLEY Owner/President 317-513-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 2330496686) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2014-04-29 |