| NPI | 1922474873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELENA ORDAZ Administrator 414-645-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |