| NPI | 1750567806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN M WILKINSON President 802-860-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2016-02-23 |