| NPI | 1639235443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE DALE HAMPTON President 414-447-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WI 41757300) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-06-26 |