| NPI | 1376537159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN NILES President 215-788-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 80797191) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2010-01-13 |