| NPI | 1033755897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZE JOHN Director 508-410-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-01-17 |