| NPI | 1861776254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. VARLAND Owner 815-877-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |