| NPI | 1891950960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA AGUAYO President 877-520-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.001020) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2010-11-29 |