| NPI | 1629272604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BAILET President 414-647-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2009-04-13 |