| NPI | 1144098153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN THEODORE Owner/Operator 508-771-3702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |