| NPI | 1396911764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LYNNE LUCKOW President 414-476-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2018-10-11 |