| NPI | 1073650214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOTTY S DOMBROWSKY Office Manager 219-736-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 52000060) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2010-06-18 |