| NPI | 1497812986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RAYMOND KEOUGH Owner 508-676-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA MA0085022) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |