| NPI | 1649719030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ADDINGTON Compliance 317-536-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2024-01-30 |