| NPI | 1871014167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD YASIN Administrator 608-298-5368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |