Provider Demographics
NPI:1558458489
Name:M AND M INDUSTRIES, LLC
Entity Type:Organization
Organization Name:M AND M INDUSTRIES, LLC
Other - Org Name:A2Z HOME MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:MANFREDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-430-1079
Mailing Address - Street 1:72 HILL TOP RD
Mailing Address - Street 2:
Mailing Address - City:EAST HADDAM
Mailing Address - State:CT
Mailing Address - Zip Code:06423
Mailing Address - Country:US
Mailing Address - Phone:860-430-1079
Mailing Address - Fax:
Practice Address - Street 1:548 NEW LONDON TPKE
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2311
Practice Address - Country:US
Practice Address - Phone:860-633-1882
Practice Address - Fax:860-633-1802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3701471-002332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT5500270002Medicare NSC