| NPI | 1760705537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT BURTON Manager 812-923-9837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00188) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2013-10-11 |