| NPI | 1093894263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M DEJESUS President 203-723-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-09-14 |