| NPI | 1104172006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN D REDD President 716-948-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2012-11-01 |