| NPI | 1326459173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA HICKS President 617-951-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |