| NPI | 1285650481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE L HUDON Member 860-963-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CT CSW0001408) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT CSW0001408) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-08-29 |