NPI | 1114250552 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNA S. POLONCHEK CEO 508-295-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2009-09-17 |
Last Update Date | 2017-03-21 |