| NPI | 1093414716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMERA BUTLER Owner 215-792-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |