| NPI | 1659403855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE D TURSKI Medicare Admin 860-963-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 004046512) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2011-11-09 |