| NPI | 1669645750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF WILKINSON President 802-447-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VT 03091) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |