| NPI | 1013168038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROTHEKER Owner 219-769-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 119-20) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |