| NPI | 1801297312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN SHANTA Owner 610-326-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA F02340) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |