| NPI | 1508158973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA MD063803L) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |