Organization Name: | DELORES'SURVIVOR'SWIG&FORMBOUTIQUE |
NPI Number: | 1851578561 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DELORES LYNCH (OWNER/FITTER) |
Mailing Address: | 1211 Gar Hwy Swansea |
State: | MA US |
Postal Code: | 027774225 |
Phone Number: | 5086743800 |
Fax Number: | 5086759745 |
NPI Enumeration Date: | 01/24/2008 |
NPI Last Update Date: | 01/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |