| NPI | 1942812649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MARIE HUDSON Manager / Owner 608-790-4381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2021-03-30 |