| NPI | 1629037304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ADDINGTON Compliance 317-536-4870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-03-19 |