| NPI | 1578736518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANT ALLEN BLOSS President 812-479-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 01020011) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-29 |