| NPI | 1508688052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REHMAN KHAN Owner 608-581-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-02-26 |