| NPI | 1417243452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PATRICK SELLBERG CEO 860-573-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |