| NPI | 1518190883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HRADECKY Manager 603-540-6564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2018-12-12 |