| NPI | 1922572304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALAN BIGNEY Administrator 401-728-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |