| NPI | 1790912632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MILLER Owner 717-491-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA 6000007396) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2020-01-22 |