| NPI | 1083191878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC T HARRIS Clinical Coordinator 203-423-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |