| NPI | 1619056272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A RAFALSKI COO 219-326-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000198A) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2010-05-03 |