| NPI | 1003970690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMFORT AUGUSTINE EBONG Administrative Director 219-852-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-01-10 |