| NPI | 1649641242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNN ALLEN Cco 610-768-0210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MD R3726) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R3726) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MD R3726) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2018-01-26 |