| NPI | 1902074297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RUSSELL COFFIN President 317-409-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |