| NPI | 1104003821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MCCULLOUGH Owner 802-747-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VT 4608590001) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |