Provider Demographics
NPI:1861665507
Name:FULL LIFE PRODUCTS, LLC
Entity Type:Organization
Organization Name:FULL LIFE PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:KARASIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-642-1700
Mailing Address - Street 1:300 W ROUTE 38
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3233
Mailing Address - Country:US
Mailing Address - Phone:856-642-1700
Mailing Address - Fax:856-273-8833
Practice Address - Street 1:300 W ROUTE 38
Practice Address - Street 2:SUITE 102
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3233
Practice Address - Country:US
Practice Address - Phone:856-642-1700
Practice Address - Fax:856-273-8833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies