| NPI | 1144636184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNELL DAIS Administrator 724-650-1463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |