| NPI | 1205275567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTEN J COBERY Member 401-338-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |