| NPI | 1871777318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN HALL Licensing 317-706-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313475) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2009-04-14 |