| NPI | 1659441483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. CAMP Manager 812-450-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: IN 69000101A) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IN 69000101A) |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: IN 60001691A) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2013-09-12 |