| NPI | 1467748475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MULL Director 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 071801) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2025-07-30 |