| NPI | 1457435406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN MIETTHE Co Owner/Partner 508-668-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-04-14 |