| NPI | 1164828083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD NAULT Managing Member 920-491-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |