| NPI | 1215250022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREATHA THOMAS President 708-898-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2018-08-23 |