| NPI | 1912981820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L PARA President CEO 570-961-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA 6000005135) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 6000005135) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: PA 6000005135) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2009-01-27 |