| NPI | 1265069421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON TEVZ Owner 414-758-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor Home Modifications |
| Additional Taxonomies | 171WV0202X Contractor Vehicle Modifications |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-05-01 |