| NPI | 1114766516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD GORING CEO 732-322-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |