NPI | 1396855821 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK T HATCH President 815-227-0202 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 203.000617) |
Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-04-24 |