| NPI | 1598511123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M SANSONE President 608-294-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |