| NPI | 1548359557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L. BOUCHARD Owner 860-667-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: N/A) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-07-21 |