| NPI | 1699128157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BOUCHARD Manager Rhode Island 800-915-4870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |