| NPI | 1033735071 |
|---|---|
| Former Legal Business Name | DEBRINA CRUSE |
| Entity Type | Organization |
| Authorized Contact | DEBRINA CRUSE Owner 215-207-1073 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |