| NPI | 1417934472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WATERS Owner 847-509-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2010-03-30 |