| NPI | 1972926012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA GATLIN Owner 708-252-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2021-07-08 |