| |
1300 State St, Suite 1b, La Porte, IN 46350-3185 | |
(219) 362-6297 | |
(219) 324-3061 |
Full Name | |
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Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 1300 State St, La Porte, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1275081788 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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Po Box 689022, Franklin, TN 37068-9022 Ph: () - | 1300 State St, Suite 1b, La Porte, IN 46350-3185 Ph: (219) 362-6297 |