Independent Living Supplies, LLC

NPI #1649270356 in Wauwatosa, Wisconsin

Provider Information

NPI Number
1649270356
Entity Type
Organization
Organization Name
Independent Living Supplies, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jul 22, 2005
Last Updated
Jan 2, 2008

Practice Location

Address
6100 W BLUEMOUND RD
ZIP Code
53213-4143
Phone
(414) 329-3962

Authorized Official

Name
MRS. ROXANNE L PETERSON
Title
MEMBER
Phone
(414) 329-3962

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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