| NPI | 1760998512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM ROUMANIS Owner 906-226-9087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |