| NPI | 1164581104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY EISENHOWER SELF Owner 717-697-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA No License Required) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-06-20 |