| NPI | 1831559699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNN ALLEN Cco 610-768-0210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2021-03-18 |