NPI | 1710356563 |
---|---|
Doing Business As | ESKENAZI HEALTH MEDICAL SUPPLY STORE 38TH STREET |
Entity Type | Organization |
Authorized Contact | MATTHEW R GUTWEIN President And Executive Director 317-221-2009 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2015-09-23 |
Last Update Date | 2015-09-29 |