| NPI | 1639497076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE M WARNER Owner 802-824-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VT 122-0000188) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-09-30 |