| NPI | 1942691803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ROBERT MULCAHY Associate Director 617-724-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2022-10-25 |