| NPI | 1750642591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DOUGLAS KAISER CEO 317-691-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2022-07-21 |