Jak Enterprise INC

NPI #1528013380 in Geneseo, Illinois

Provider Information

NPI Number
1528013380
Entity Type
Organization
Organization Name
Jak Enterprise INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 23, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
206 W 1ST ST
ZIP Code
61254-1344
Phone
(309) 944-5351

Authorized Official

Name
DIANA J HALL
Title
PREIDENT
Phone
(309) 693-9540

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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