| NPI | 1679005680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL FRANCIS COSTELLO Manager 855-210-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-04-27 |