| NPI | 1730247669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES COSTANZO President 570-825-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000005585) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-04-15 |