| NPI | 1376712000 |
|---|---|
| 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 15261582) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |