| NPI | 1811429152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY VANDER VLIET Owner 908-852-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |