Organization
AGING WITH ATTITUDE MEDICAL SUPPLIES, INC.
Active
Other names
AWA MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
IVETTE RIVERA (PRESIDENT)
(203) 791-9383
Entity
Organization
Contact information
Practice address
272 MAIN ST, DANBURY, CT 06810-6624
(203) 791-9383
Mailing address
272 MAIN ST, DANBURY, CT 06810-6624
(203) 791-9383
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2700524-001
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00424683200
—
CT
05
—
02689389
—
NY
01
—
12DME0837CT01
ANTHEM BLUE CROSS
CT
01
—
278914
PREFERRED ONE WELL CARE
CT
Enumeration date
01/11/2007
Last updated
08/22/2020
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