| NPI | 1831278233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE KAY YEAGER President 262-797-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WI 2530-035) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2020-08-22 |