| NPI | 1518712322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL CAPATI BACANI Owner 808-258-0472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-26 |