| NPI | 1992823322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LOUCAS VACRACOS President 219-923-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: IL 203000793) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-04-20 |