| NPI | 1215911581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L PARRA President 570-961-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 3000007810) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2009-01-27 |