| NPI | 1851471007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE MCKEOWN Administrator 732-942-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 25MD00224100) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |