| NPI | 1922383124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD M SHORES Manager 978-922-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA C36247) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |