| NPI | 1417115551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY J REIGLE Office Manager 570-473-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA OEG000763) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-29 |