NPI | 1942849096 |
---|---|
Entity Type | Organization |
Authorized Contact | JO TURLEY Medical Staff Coordinator 217-545-7876 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2020-01-06 |
Last Update Date | 2020-01-06 |