| NPI | 1912875931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DUDLEY President 920-915-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |