| NPI | 1285908632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCOTT LEWIS President 219-872-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 1100085347672) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |