Provider Demographics
NPI:1811140619
Name:A NATURAL IMAGE, LLC
Entity type:Organization
Organization Name:A NATURAL IMAGE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:A.
Authorized Official - Middle Name:
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-432-7773
Mailing Address - Street 1:60 NEWTOWN RD
Mailing Address - Street 2:STE. #117
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6257
Mailing Address - Country:US
Mailing Address - Phone:860-432-7773
Mailing Address - Fax:888-781-3967
Practice Address - Street 1:60 NEWTOWN RD
Practice Address - Street 2:STE. #117
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6257
Practice Address - Country:US
Practice Address - Phone:860-432-7773
Practice Address - Fax:888-781-3967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies