| NPI | 1982306726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN J HACKETT President 715-393-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |