| NPI | 1083898704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS A TIPPETT Owner 814-946-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000004426) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA 6000004426) |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: PA 6000004426) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: PA 6000004426) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: PA 6000004426) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 6000004426) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: PA 6000004426) | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2008-06-19 |