| NPI | 1134324965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L PARA President 570-963-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 8000001380) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 8000001380) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: PA 8000001380) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: PA 8000001380) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2009-01-27 |