| NPI | 1225462351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTON DETRICK President 570-350-2638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |