| NPI | 1982006953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH H NEWELL President 219-803-7380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 0106494791-001) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |