| NPI | 1750532313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN T KELLY Regional Director Hme 608-276-3926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2023-06-02 |