| NPI | 1659661023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA V THOMAS President 716-883-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |