| 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 |