NPI | 1760697072 |
---|---|
Other Name | CENTENNIAL VILLAGE |
Entity Type | Organization |
Authorized Contact | BARRY FELDSCHER Partner 215-477-1170 |
Organization Subpart ? | No |
Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
Enumeration Date | 2007-05-11 |
Last Update Date | 2020-08-22 |