Organization
LIFE MEDICAL SUPPLIES, INC.
Active
Other names
Life Medical Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM TAUB (PRESIDENT)
(908) 925-7691
Entity
Organization
Contact information
Practice address
631 E. ELIZABETH AVENUE, LINDEN, NJ 07036-2661
(908) 925-7691
(908) 925-1902
Mailing address
PO BOX 4087, LINDEN, NJ 07036-8087
(908) 925-7691
(908) 925-1902
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01400797
—
NY
05
—
5165008
—
NJ
Enumeration date
10/11/2005
Last updated
02/08/2011
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