| NPI | 1679942569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE A VANGELAS Owner 201-819-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |