| NPI | 1437133956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELLA P MONCAYO CEO/President 860-296-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: CT CSW0001665) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2012-08-29 |