| NPI | 1972586675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS C MCKELL Chief Administrative Officer 860-524-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2010-10-21 |