| NPI | 1366733933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY RINE Vice President 570-966-5582 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2022-05-09 |