| NPI | 1184134249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA GARCIA Owner/Rpic 201-438-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RS00602800) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |