NPI | 1033460696 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK BERBERIAN Member 302-645-8070 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE 2012605626) |
Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: DE 2012605626) |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: DE 2012605626) | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: DE 2012605626) | |
Enumeration Date | 2012-09-24 |
Last Update Date | 2012-11-02 |