| NPI | 1609060771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME CULMER Owner/Operator 1215-634-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 3000007911) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |