| NPI | 1205160538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KALTRIDER President 203-837-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 3000008490) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2010-05-04 |