| NPI | 1902236789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT L SCOTT Owner Operator 317-357-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |