| NPI | 1134442361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROHDE Owner 309-664-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 16-00299) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2018-08-18 |