| NPI | 1013800135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN WATFORD Owner 414-408-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |