| NPI | 1912952706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL L ABBOTT Administrator 219-263-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: IN 2005040400231) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-13 |