| NPI | 1427675354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M DEMING Credentialing Manager 860-549-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-07-06 |