| NPI | 1699282475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HATCH President 815-227-0202 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WI 125-48) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: WI 125-48) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2023-04-24 |