| NPI | 1194103911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL COLE Managed Care Coordinator 401-921-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: VA 2101002041) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |