| NPI | 1225064793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERLA JANE FREEMAN CEO President 219-949-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-10-05 |