| NPI | 1609180108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF S. VANTIL CEO/President 219-728-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 17729-74848) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2011-01-06 |