| NPI | 1477843126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK HORTON Principle 215-859-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-07-25 |