| NPI | 1538318068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG HAMEL Owner 8777-349-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MA 154568) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |