| NPI | 1316655459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILHELMUS C GROENHUYSEN COO 603-617-4768 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |