| NPI | 1003312141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALISTINA JOSEPH President 414-210-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-09 |