| NPI | 1932481819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRAD POWERS Owner 317-223-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |