| NPI | 1902863434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J FREDERICKS President 508-865-4857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2011-01-19 |