| NPI | 1457807380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE LYLES Managing Member 317-653-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |