| NPI | 1134559818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE MIESSAU Office/Production Manager 860-872-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |