| NPI | 1730367707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD SAMS Director, Business Operations 317-521-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 332B00000X) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2010-04-21 |