| NPI | 1629587209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R YESSENOW President 219-756-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN PENDING) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |