| NPI | 1790787042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE TRICARICO Owner / Manager 870-932-0990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-09-27 |