| NPI | 1821504697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALENE EVANS Member & Registered Agent 812-498-1857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |