| NPI | 1811197528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ARYEETEY Member 414-732-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |