NPI | 1982853693 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BOCCHICCHIO Owner 888-245-0588 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2008-09-17 |
Last Update Date | 2008-09-17 |