| NPI | 1720244296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN B KEATING Director Of Hme Services 800-366-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000974) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2020-02-25 |