| NPI | 1598761074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI LYNN PENTICUFF General Manager 317-594-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: IN 050053311) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IN 60005571A) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IN 60005571A) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2008-01-07 |