| NPI | 1124290325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE L JONES Contracting Contact 617-306-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MA 1096) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |