| NPI | 1265244545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HARIS Billing Manager 860-962-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |