| NPI | 1770544728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WILSON Owner 203-269-5295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 332B00000X) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |