Organization
ACTIVE MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY ESCAMILLA (OWNER)
(973) 506-4055
Entity
Organization
Contact information
Practice address
855 VALLEY RD, CLIFTON, NJ 07013-2441
(973) 506-4055
(973) 506-6728
Mailing address
PO BOX 820, WEST MILFORD, NJ 07480-0820
(973) 506-4055
(973) 506-6728
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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