| NPI | 1679973275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEAH STOUGH Business Manager 812-499-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-10-13 |