| NPI | 1861224560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GEARHEART President 317-813-4210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |