| NPI | 1295936938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL HUDAK President 570-704-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 5563260001) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-12-31 |