| NPI | 1073745709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLINTON President 860-633-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-28 |