| NPI | 1568621647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE R. DAVIS Owner 215-739-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA OE005224T) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |