NPI | 1225023922 |
---|---|
Doing Business As | ACTIVSTYLE |
Entity Type | Organization |
Authorized Contact | WENDY RUSSALESI Cco 484-246-9499 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Enumeration Date | 2005-09-19 |
Last Update Date | 2024-05-24 |