| NPI | 1962593400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN K KIDWELL President 812-232-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-06-27 |