| NPI | 1174888358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN LIEPOLD General Partner 808-960-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |