| NPI | 1003142225 |
|---|---|
| Doing Business As | THE BOUTIQUE AT SMILOW |
| Entity Type | Organization |
| Authorized Contact | JAMES STATEN Sr. VP Of Finance & CFO 203-688-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CT 0044) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2021-06-07 |