| NPI | 1437154010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Cco 484-246-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2025-05-27 |