| NPI | 1013195577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER S MOZDEN Owner 860-889-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 001299) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |