| NPI | 1518106095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN BURR Director Of Operations 715-552-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2010-06-16 |