| NPI | 1144695883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW TYRA Founding Partner 309-229-6341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |