| NPI | 1760993968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ROSS VASTA Owner 877-888-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2022-01-18 |