| NPI | 1568188530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURDICIA GILBERT Owner 860-595-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-05-12 |