NPI | 1497507024 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD GERALD HARRIS AO 708-450-5055 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2024-04-05 |
Last Update Date | 2024-04-05 |