| NPI | 1689394843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE OWENS Authorized Agent 317-879-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-03-31 |