| NPI | 1376280040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYN E CLARK Managing Member 203-947-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |