| NPI | 1790945947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDONNE NEWLAND Manager 317-203-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-08-26 |