| NPI | 1477740462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN SAFADI Owner 219-699-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 69000329A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000329A) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2008-04-09 |