| NPI | 1861775843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE JEANNE KELLY-SAILORS Owner 724-940-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA 6000006218) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |