| NPI | 1104605716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIAN GHALY Business Manager 508-366-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-25 |