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Organization
PULMOHAB, LLC
Active
Organization
PULMOHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN JOSE RIVERA RRT (CEO)
(973) 390-3191
Entity
Organization
Contact information
Practice address
575 LEXINGTON AVE, CLIFTON, NJ 07011-1226
(973) 390-3191
(707) 221-7688
Mailing address
575 LEXINGTON AVE, CLIFTON, NJ 07011-1226
(973) 390-3191
(707) 221-7688
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NJ
251F00000X
Home Infusion Agency
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NJ
332BC3200X
Customized Equipment (DME)
—
NJ
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NJ
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NJ
335E00000X
Prosthetic/Orthotic Supplier
—
NJ
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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