| NPI | 1164609236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLA R MANHIRE Owner 908-852-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ D775) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2017-03-09 |