Organization
OPTIONS DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAZEN SAFADI (OWNER)
(219) 699-7037
Entity
Organization
Contact information
Practice address
2434 N STATE ROAD 39 STE C, LA PORTE, IN 46350-2083
(219) 324-2700
(219) 362-3399
Mailing address
2434 N STATE ROAD 39 STE C, LA PORTE, IN 46350-2083
(219) 324-2700
(219) 362-3399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
69000329A
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
69000329A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000549681
ANTHEM
IN
Enumeration date
10/03/2007
Last updated
04/09/2008
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