| NPI | 1386793438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUVIVA JENE ALCARAZ President (Owner) 309-694-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL C36319) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-09-09 |