| NPI | 1184772071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES SCANLON Owner 860-456-4250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-09-04 |