| NPI | 1710079785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BERT BARTLEY Director 812-484-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0119506750) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-03-28 |