| NPI | 1548305246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY EMECHEBE Executive Director 219-944-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 60004971A) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IN 60004971A) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 60004971A) | |
| 333600000X Pharmacy (Licence: IN 60004971A) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IN 60004971A) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |