| NPI | 1942607809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R STEELE Owner 317-577-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IN 35001320A) |
| Additional Taxonomies | 251S00000X (Licence: IN 34003077A) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |