| NPI | 1053875336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R WENGER Founder/Owner 414-333-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |