| NPI | 1003162819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MICHAEL MORRIS Sole Member LLC 732-470-9013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |