| NPI | 1477979300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L LLEWELLYN Owner 317-291-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IN 12008920) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-04-23 |