| NPI | 1609935584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. HARTLEY President 317-333-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: IN 69000543A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH HMER 22686) |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: OH HMER 22686) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: OH HMER 22686) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000543A) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IN 69000543A) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IN 831955559) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: KY MG0784) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: MN 600262) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2012-02-10 |