| NPI | 1477285013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PETERSON Co Owner 802-522-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |