| NPI | 1750388252 |
|---|---|
| Doing Business As | SOURCE ONE MEDICAL INC |
| Entity Type | Organization |
| Authorized Contact | DENNIS KLINE President/CEO 888-447-9056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2011-05-27 |