| NPI | 1811447311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MATTHEW WADDELL Owner 317-991-4892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |