| NPI | 1427389063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE LYNNE DYKENS Owner 617-943-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2015-03-11 |