| NPI | 1386473312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ROBERT MULCAHY Director 774-527-9684 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-09-25 |