| NPI | 1417954165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Authorized Official, Director/ Offi 484-246-9499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2023-10-04 |