Organization
CIVILITY MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYN E CLARK (MANAGING MEMBER)
(203) 947-6086
Entity
Organization
Contact information
Practice address
1 PADANARAM RD., STE 106, DANBURY, CT 06811
(203) 678-0438
(845) 278-1930
Mailing address
155 MAIN STREET., UNIT 307A, BREWSTER, NY 10509
(845) 363-8523
(845) 278-1930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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