NPI | 1750783049 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY RUSSALESI Authorized Official 484-246-9499 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Enumeration Date | 2014-09-18 |
Last Update Date | 2023-12-07 |