| NPI | 1003142969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REXFORD CAMPBELL CEO 570-338-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| 332S00000X Hearing Aid Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |