| NPI | 1801300058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROHDE Owner/Managing Partner 309-664-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 20176001145) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2021-10-01 |