| NPI | 1356510036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A BOLESTA President 800-500-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 15261592) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |