| NPI | 1053647479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN K MYERS Owner 610-543-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA 83355159) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |