| NPI | 1114167111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Director/ Officer, Authorized Offic 484-246-9499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2023-09-25 |