| NPI | 1790025674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DAVID RITCHIE Owner 920-636-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |