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 |