| NPI | 1164040598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER DAVID GARCIA Partner 610-247-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |