| NPI | 1013914027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHACEY PETROVIC President & CEO 978-600-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-01-15 |