| NPI | 1255878450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANDREW REIS Vice President 217-224-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |