| NPI | 1982673257 |
|---|---|
| Doing Business As | SOURCE ONE MEDICAL INC |
| Entity Type | Organization |
| Authorized Contact | DENNIS KLINE President/CEO 888-447-9056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-06-14 |