| NPI | 1912201534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELO D TENUTA Owner 262-652-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 456-1026819325-04) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2012-02-28 |