| NPI | 1164589560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A LEGRAND Owner 215-496-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA 66611) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-08-20 |