| NPI | 1194880484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONSO WEBB PEARSON Owner 860-589-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 8908915000) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |