| NPI | 1992747364 |
|---|---|
| Doing Business As | PUSHANE ALEXANDER |
| Entity Type | Organization |
| Authorized Contact | PUSHANE LATREASE ALEXANDER President 219-884-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |