NPI | 1649486036 |
---|---|
Entity Type | Organization |
Authorized Contact | G ANDREW WILSON Owner 812-238-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 01057579A) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2014-02-10 |