| NPI | 1043337660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORENE LYNNE MCFARLAND Office Manager 815-965-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-06-08 |