| NPI | 1710443734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY WAYNE PARKER President 317-872-9702 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |