| NPI | 1881135879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GALLAGHER Manager 774-766-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |