Organization
MODERN CARE MEDICAL SUPPLIES LLC
Active
Organization
MODERN CARE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUTAYO OLUMAYOWA OLUKOYA (MANAGER)
(203) 243-8199
Entity
Organization
Contact information
Practice address
3780 MAIN ST, BRIDGEPORT, CT 06606-3610
(203) 870-8987
(203) 870-8988
Mailing address
3780 MAIN ST, BRIDGEPORT, CT 06606-3610
(203) 870-8987
(203) 870-8988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1216892
CT
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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