| NPI | 1316139926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK A REZK President 814-948-2058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 3000007985) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA 3000007985) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: PA 3000007985) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: PA 3000007985) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 3000007985) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: PA 3000007985) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |