| NPI | 1992775811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LELAND NIELSEN President 262-884-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2020-08-22 |