| NPI | 1619511599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA KRUMREE Office Manager 414-399-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2026-01-09 |