| NPI | 1982718730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EMMETT BOYLAN Director 860-963-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CT 000784) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |