NPI | 1881703684 |
---|---|
Doing Business As | SOURCE ONE MEDICAL INC |
Entity Type | Organization |
Authorized Contact | DENNIS KLINE President/CEO 888-447-9056 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-29 |
Last Update Date | 2011-06-06 |