| NPI | 1174825327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A PORCELLO Owner 877-732-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2010-11-21 |