| NPI | 1164719746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELBERT YUN Authorized Rep 201-880-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-05 |