NPI | 1487640140 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA R STALLCOP Corporate Manager 812-232-6673 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: IN 50003589) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2007-10-18 |