| NPI | 1447429063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A BOLESTA President 800-500-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: VA T07341000) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |