| NPI | 1366653545 |
|---|---|
| Doing Business As | ONE SOURCE MEDICAL GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | DANIEL J ROBICHAUD CEO 866-834-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313496) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2022-08-24 |