| NPI | 1710129648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRYL A JEDELE Single Member / Owner 317-831-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |