| NPI | 1720091762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Cco 484-246-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI 00) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-12-01 |