| NPI | 1033283460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN REYNOLDS Owner 603-225-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2008-08-05 |