| NPI | 1790057701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A HARTLEY CEO 317-333-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 69000965A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-06-04 |