| NPI | 1336449768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE LANCE MALALIS Member 808-384-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |