| NPI | 1174892129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY FULLER Assistant Controller 802-496-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |