| NPI | 1083029805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SIDNEY GROLNIC Owner 508-875-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MA 96) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |