| NPI | 1801295423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL GREEN President 317-579-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IN 12008575) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |