| NPI | 1144400086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE BONITATIBUS Treasurer 603-772-7807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |