| NPI | 1114537479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY PRINCE Member Manager 973-474-8290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-10-22 |