| NPI | 1326316134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M REID-OLSON Member/Owner 262-443-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |