NPI | 1457661662 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID G CRANE President 812-339-1221 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IN 01019739) |
Enumeration Date | 2010-10-21 |
Last Update Date | 2010-10-21 |