| NPI | 1538395801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG PEREIRA Managing Member 877-364-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313615) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2014-01-24 |