| NPI | 1316498272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JONES Managing Member 617-797-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |