| NPI | 1841559721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ELAINE PETERS Owner 717-504-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: PA D00805) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |