| NPI | 1245536010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GIACOMO Owner/Operator 505-259-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-03-17 |