| NPI | 1780404756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHUL NANDRU Owner/Manager 217-953-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |