1 Source Medical, LLC
Durable Medical Equipment & Medical Supplies, Customized Equipment in Vineland, NJ. Organization (NPI-2).
NPI number1790022457
StatusActive
Last updated in NPPESJan 14, 2013
Details
- NPI
- 1790022457
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Source Medical, LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2013
- Last updated
- Jan 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | NJ | Yes |
Practice location
1068 E Landis AveSuite A
Vineland, NJ 08360-4042
Phone 856-691-1510 · Fax 856-692-1389
Mailing address
1068 E Landis AveSuite A
Vineland, NJ 08360-4042
Phone 856-691-1510 · Fax 856-692-1389
Authorized official
Dianilda Torres
Ceo
8566911510
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