Organization
SCOOTER A LONG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA V HERNANDEZ (OWNER)
(860) 334-2744
Entity
Organization
Contact information
Practice address
350 TROLLEY LINE BLVD, GRAND PEQUOT COAT ROOM, MASHANTUCKET, CT 06338
(860) 373-1482
Mailing address
172 STODDARDS WHARF RD, GALES FERRY, CT 06335-1128
(860) 334-2744
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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