| NPI | 1720019490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA A RUSKIN Owner/President 800-609-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 863) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 863) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |