| NPI | 1790587269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUPERIA INGALLS President 856-287-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |