| NPI | 1881482164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREMAIN KING Owner 708-915-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |