| NPI | 1669124780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN MOODY Office Manager 732-348-0103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |