Back Pain Home Supplies
Durable Medical Equipment & Medical Supplies in Vineland, NJ. Organization (NPI-2).
NPI number1780005801
StatusActive
Last updated in NPPESApr 16, 2014
Details
- NPI
- 1780005801
- Entity type
- Organization (NPI-2)
- Legal business name
- Back Pain Home Supplies
- Organization subpart
- No
- Enumeration date
- Dec 16, 2013
- Last updated
- Apr 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0400601424 | NJ | Yes |
Practice location
1133 E Chestnut AveBldg 2
Vineland, NJ 08360-5001
Phone 856-691-0482 · Fax 856-690-8822
Mailing address
1133 E Chestnut AveBldg 2
Vineland, NJ 08360-5001
Phone 856-691-0482 · Fax 856-690-8822
Authorized official
Julie Marquez
Owner
8566910482
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