| NPI | 1508050600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN STANTON Controller 570-824-7821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 40254073) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |