| NPI | 1679736888 |
|---|---|
| Doing Business As | SOURCE ONE MEDICAL INC |
| Entity Type | Organization |
| Authorized Contact | FRANK BRYAN Adm Office Mgr 888-447-9056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |