| NPI | 1437471604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE STEWART Manager 814-943-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000002343) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |