| NPI | 1467911131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS TORNINCASA Member Mgr 754-229-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2020-04-28 |