| NPI | 1821487802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE LYNNE DYKENS President 617-474-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-12-04 |