| NPI | 1457419400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN M SERVILLAS President 215-639-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: PA 1000002485) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-07-26 |