Organization
AGING WITH ATTITUDE MEDICAL SUPPLIES, INC.
Active
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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