| NPI | 1902004138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE L GERNER Director, Finance 219-989-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |