| NPI | 1063953008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHEEM AKRAM Administrator 414-375-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-04-12 |