| NPI | 1295059285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL U AYANGBILE Owner/CEO 309-786-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |