| NPI | 1982192894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLMUNICA REYES CEO/Administrator 414-517-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2020-03-16 |