| Organization Name: | LORETTO HEALTH SUPPORT, LLC |
| NPI Number: | 1124061478 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL T CARELLI (EXECUTIVE DIRECTOR OF OPERATIONS) |
| Mailing Address: | 300 Gateway Park Dr Suite 1 North Syracuse |
| State: | NY US |
| Postal Code: | 132123755 |
| Phone Number: | 3154922184 |
| Fax Number: | 3154929125 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 11/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |