| NPI | 1942691803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA HAZELL Director, Provider Enrollment 781-254-4854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2026-05-04 |