| NPI | 1043497506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK LAWRENCE SIMON Owner 215-362-2220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA SC002656L) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |