| NPI | 1720251267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEPHEN LAKY President/CEO 866-738-6552 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2013-12-31 |