| NPI | 1376686402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A. MACDONALD Administrator 860-283-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-08-27 |