| NPI | 1356754261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L GATLING Stylist 203-206-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |