| NPI | 1508847583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. PHYLLIS STEVENS Owner 812-471-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-22 |