| NPI | 1568507184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND W RAYCRAFT Partner 217-875-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-03-18 |