| NPI | 1699455394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R BENSON Chief Physician Executive 317-580-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |