| NPI | 1194836346 |
|---|---|
| Doing Business As | SISA HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT R LEWIS President 618-932-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 20321120) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |