| NPI | 1457964033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN H PARK President/CEO 317-580-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-09-03 |