| NPI | 1659853752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THOMAS MISTRETTA Owner 855-580-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2021-08-27 |