| NPI | 1720555196 |
|---|---|
| Former Legal Business Name | FACEDOWN RENTAL, LLC |
| Entity Type | Organization |
| Authorized Contact | DEBRA LYNNE LUCKOW President 414-476-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2019-07-19 |