| NPI | 1790106052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOGERO Owner 814-233-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |