| NPI | 1780721159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY JO WEATHERLY President 414-918-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |