| NPI | 1457771065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LANZA Principal 682-502-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-10-02 |