| NPI | 1598769127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A HARTLEY Owner 317-333-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2012-02-27 |