| 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 |