| NPI | 1093977035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE SPANBURG Facility Manager 219-864-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |