| NPI | 1932148715 |
|---|---|
| Other Name | BROAD RIPPLE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | GREGORY MIDDLETON Owner 317-251-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |