| NPI | 1306807342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAS JAMALEDDIN General Manager 219-756-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 48001347A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 48001347A) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2009-05-18 |