| NPI | 1447767413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MICHAEL CARDINAL Member 317-258-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |