| NPI | 1679419766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYDON RAE IRELAND Owner 201-471-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-04-28 |