| NPI | 1821210410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MIRRA President 484-494-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY 0634L002) |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-01-07 |