| NPI | 1881942381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL PONCZA President 866-903-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 019026404) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |