| 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 |