| NPI | 1245416866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY D MILLS Owner 856-751-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ MD16968) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NJ MD1968) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ MD1968) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2010-09-27 |