| NPI | 1962935346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D WELLS President 802-527-2959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |