| NPI | 1801170014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DE'ARIS WILLIAM HENRY CEO 609-453-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1000041543) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |