| NPI | 1104021922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. BOISVERT Member Manager 203-520-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-01-04 |