| NPI | 1497273585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASEEM HAIDER Admininstrator 802-768-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2022-07-21 |