| NPI | 1700486552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN NELSON CFO / President 802-310-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-12-16 |