NPI | 1437356508 |
---|---|
Entity Type | Organization |
Authorized Contact | DALE ALAN RUNGE Manager 262-781-7690 |
Organization Subpart ? | No |
Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
Enumeration Date | 2007-07-01 |
Last Update Date | 2007-12-18 |