| NPI | 1386754711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS L BELCHER President CEO 414-899-1851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01187) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |