Organization
SOMNIUM DME LLC
Active
Other names
Somnium DME South Bend
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI MAHADEVIA (CEO)
(312) 498-4259
Entity
Organization
Contact information
Practice address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
(574) 231-6895
(574) 231-6852
Mailing address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
(574) 231-6895
(574) 231-6852
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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