| NPI | 1578511721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B PATTERSON Owner 860-489-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 1652817000) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |