| NPI | 1922894385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BRYAN Administrator 317-477-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |