| NPI | 1659080448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY THOMPSON-BAKER Specialist 317-523-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |