| NPI | 1679680797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER G SANTUCCI President 779-234-9072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.001831) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: IL 203.001831) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2016-04-15 |