| NPI | 1497209761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P. BANCO President 484-509-0480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA MD054229L) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2023-10-05 |