| NPI | 1063252161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ELISE BROOKS CEO 609-529-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |