| NPI | 1265742852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Authorized Official/Director 484-246-9499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2023-12-21 |