| NPI | 1710026000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MICHAEL BOWMAN Owner 877-265-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000809) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-04-23 |