| NPI | 1538933270 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | THOMAS MARTIN STOCCO Co Founder, Registered Agent 414-732-6515 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | 
| Enumeration Date | 2023-11-13 | 
| Last Update Date | 2023-11-13 |