| NPI | 1912603408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BENSON Chief Physician Executive 317-580-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |