| NPI | 1194810754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERNA VICTOR Manager 978-452-9302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 093020) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |