| NPI | 1588007983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PHALEN Abo Director 219-554-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2023-02-13 |