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 |