| NPI | 1528412061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASANA B KABA President 978-278-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: MA 00121624) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |