| NPI | 1871191171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ELIZABETH WESLEY CEO 802-388-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |