| NPI | 1215099676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE UBANWA President 973-799-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NJ 332BC3200X) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |