| NPI | 1033142948 |
|---|---|
| Former Legal Business Name | HEALTHY LIVING DIABETIC LLC |
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Cco 484-246-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-10-17 |