| NPI | 1861896912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RIVERA President 844-472-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |