| NPI | 1720503840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHELLY BUKIRWA President 781-491-0439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 192) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2022-07-21 |