| NPI | 1477890879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M TIOCO Owner/Physician 219-836-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 01054586A) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-02-20 |