| NPI | 1649064866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA LEE HAWKINS President 309-682-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-05-13 |