NPI | 1316432016 |
---|---|
Entity Type | Organization |
Authorized Contact | MASON SMELTZER Director 717-397-1841 |
Organization Subpart ? | Yes |
Primary Taxonomy | 171W00000X Contractor (Licence: PA PA009758) |
Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: PA PA009758) |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2018-06-25 |
Last Update Date | 2022-06-01 |