| NPI | 1508312786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SURFACE President 5736-055-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |