| NPI | 1598399958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G PHILLIPS Owner 401-527-1218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |