| NPI | 1962400473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A BUZOGANY Manager 800-749-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000409) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-08-22 |