| NPI | 1710592357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOSEPH JACOFSKY CEO 866-974-2673 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2021-05-13 |