| NPI | 1346471398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC VASSILATOS Secretary 877-330-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203001087) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |