| NPI | 1184249054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS MARK MERROW General Manager 603-233-0472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |