| NPI | 1669848958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND SOUTH Human Resource / Compliance Dir. 317-361-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |