| NPI | 1114102829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY T MERCURI Owner 570-344-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA SC001586L) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2012-09-17 |