| NPI | 1033465653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SISSON Manager 414-550-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-11-09 |