| NPI | 1174506299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN BOHNET Executive Director 860-749-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-08-22 |