| NPI | 1134249204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A NICHOLS Owner 401-921-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: RI 96772) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-06-13 |