| NPI | 1013276526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY K LAKE President 603-397-9534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |