| NPI | 1003117219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO WARD Billing Administrator 215-703-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |