| NPI | 1467509604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH S HOUSTON Managing Member Of LLC 860-228-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-02-09 |