| NPI | 1417133208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SIMKO Owner 978-475-6084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA MA1222) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |