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 |