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 |