Organization
SOURCE EQUIPMENT COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FELLOWS (PRESIDENT)
(978) 537-3498
Entity
Organization
Contact information
Practice address
364 PROSPECT ST, LEOMINSTER, MA 01453-3417
(978) 537-3498
Mailing address
364 PROSPECT ST, LEOMINSTER, MA 01453-3417
(978) 537-3498
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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