| NPI | 1588865513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY BENBOW Director Of Finance 617-226-5745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 4S33) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |