| NPI | 1902503949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE K GREGORY Pres. 732-314-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component |
| 261QM1103X Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable) | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2025-07-15 |