| NPI | 1942072855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BALZ CEO 317-946-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |