| NPI | 1902695794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOBOLADJI OGOUYEMI Owner 317-932-7038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |