| NPI | 1871660316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RAYMOND BUIKEMA Director Of Operations 219-663-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 69000125A) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2009-07-14 |