| NPI | 1356771737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA KAY HEDGE Owner 219-230-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE Cfm02371) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |