| NPI | 1699085522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY C BARNHARD President 203-837-2589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 1000405) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX TX 15727) |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: TX 1000405) | |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2011-01-11 |