| NPI | 1811384431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL F COSTELLO Manager 866-214-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |