| NPI | 1558637256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G. GENOVESI Authorized Official 860-224-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2014-04-01 |