| NPI | 1487002333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZE JOHN Director 508-410-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
| Additional Taxonomies | 171W00000X Contractor |
| 171WV0202X Contractor, Vehicle Modifications | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-05-06 |