| NPI | 1841456977 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | TODD W LARGENT President/Owner 309-698-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |