| NPI | 1275428948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C COSTANZA Owner 334-538-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |