| NPI | 1669478897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URBIN GUTHRIE HARVEY Owner 765-664-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0105670731) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-08-22 |