| NPI | 1649276338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E. TARVIN Vice President 717-972-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: GA 060-558) |
| Additional Taxonomies | 282E00000X (Licence: GA 121-610) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-08-22 |