| NPI | 1962879965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MCGINLEY Director Of Operations 317-361-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 331488) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2022-09-13 |