| NPI | 1114117090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERASS SAFADI Director 219-795-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IL 203001411) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IN 69000307A) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2022-07-11 |