| NPI | 1568057057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MARK GAYNOR President 156-186-6338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |