| NPI | 1003857988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA T GABRIELLE Member/Owner 860-726-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |