| NPI | 1548258858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA WAGNER President/Owner 603-778-1698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NH 4224) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2012-03-03 |