| NPI | 1770927246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ENOS President 774-263-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2020-11-06 |