| NPI | 1750648770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENISE LYNN JONES CEO/Manager 317-679-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2012-07-24 |