| NPI | 1255615621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MOZDEN Owner 860-889-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CT 001708) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |