| NPI | 1154669505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN T DUFFY CEO/Owner 551-482-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2023-05-03 |