PINK MERMAID LLC NPI 1619212362

NPI Information

PINK MERMAID LLC is a durable medical equipment medical supplies in Groton, CT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PINK MERMAID LLC NPI is 1619212362. The provider is registered as an organization entity type.

The provider's business location address is:

1313 GOLD STAR HWY
GROTON, CT
ZIP 06340-717
Phone: (860) 865-0825
Fax: (860) 865-0826

The provider's authorized official is Carol Ann Ryall .
The authorized official title is Mastectomy Fitter and has the following contact phone number (860) 865-0825.

The enumeration date for this NPI number is 12/6/2012 and was last updated on 5/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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