| NPI | 1730376807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRIC D. YOUNG Physician 219-924-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN IN24515) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-11-04 |