| NPI | 1235397480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADNEY DIEHL Insurance Coordinator 814-943-4710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2016-09-02 |