NPI | 1982097911 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES EDWIN EASH President/Owner 812-897-1410 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IN 12008687A) |
Enumeration Date | 2015-03-16 |
Last Update Date | 2015-03-16 |