| NPI | 1649592155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D BALCERAK President 414-501-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2015-02-24 |