| NPI | 1770340051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA ELIZABETH POE-AMES Owner 812-442-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |