| NPI | 1639974942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK ELLIS Director 201-685-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |