| NPI | 1780814236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY MOLDOVER President 267-778-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000004474) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2017-02-10 |