| NPI | 1033314141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BALIET President 414-647-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-02-15 |