Organization Name: | CONNECTICUT SUPPORT SERVICES HOLDINGS, LLC |
NPI Number: | 1043476005 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL LAIFER (MEMBER) |
Mailing Address: | 786 W Queen St Southington |
State: | CT US |
Postal Code: | 064891060 |
Phone Number: | 8604269868 |
Fax Number: | 8604269869 |
NPI Enumeration Date: | 07/30/2008 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |