| NPI | 1104608793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BURFIELD General Council 814-594-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 171WH0202X Contractor Home Modifications |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |