| NPI | 1437601465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SULOCK Manager 609-206-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |