| NPI | 1821285347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRUNELLI Part Owner 508-872-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MA ot5776-AH) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |