| NPI | 1144802729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESHA MICHELLE MCDONALD Owner 570-424-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-06-24 |