| NPI | 1982930483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D WEBB Vice President Of Financial Service 219-866-5141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2010-04-14 |