| NPI | 1568763803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PORCELLO Owner 877-732-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-30 |