| NPI | 1962555177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY W ANDERSON President 219-836-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0111534402) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2011-05-03 |