| NPI | 1164313581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER BEAUDOIN President 860-921-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |