| NPI | 1235612169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITALI R ASHER Authorized Official 802-598-2697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |