Sandra Jean Logan, DME

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Pawcatuck, CT

NPI 1700634623 · NPPES record last updated May 7, 2024

Key facts

NPI
1700634623
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Practice address
Heaven Scent LLC/Connri Supply
82 Mechanic St
Pawcatuck, CT 06379
Phone
(860) 599-5146
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

Heaven Scent LLC/Connri Supply
82 Mechanic St
Pawcatuck, CT 06379

Mailing address

45 Moss St
Pawcatuck, CT 06379-2114
Phone (860) 599-5146

Other providers in Pawcatuck, CT

All providers in Pawcatuck, CT · Durable Medical Equipment & Medical Supplies in Connecticut

Sources for this page

Verify at the official NPI Registry.