| NPI | 1356638191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HARVEY CEO 267-687-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000007884) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |