| NPI | 1811742026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LYNN MANNS Specialist 317-828-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |