| NPI | 1083010995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA VIVIAN IRVIN Owner 215-329-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA DS023289L) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |