| NPI | 1902952542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT BOHAN Pres 508-586-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 5578920001) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |