Organization
AIR VAC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LOUCAS VACRACOS PAC (PRESIDENT)
(219) 923-0927
Entity
Organization
Contact information
Practice address
2909 JEWETT AVE, HIGHLAND, IN 46322-1776
(219) 838-5059
(219) 838-5059
Mailing address
2909 JEWETT AVE, HIGHLAND, IN 46322-1776
(219) 838-5059
(219) 838-5059
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
—
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5582400001
DMERC NUMBER
IN
Enumeration date
03/26/2007
Last updated
04/20/2008
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