| NPI | 1467968164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZ UL REHMAN Adminstrator 262-299-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-03-17 |