| NPI | 1871753442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE E PEACH Vice President 317-445-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |