| NPI | 1912214727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FALLAN Managing Member 888-707-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E0656112006) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E0656112006-5) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2012-02-08 |