| NPI | 1942296975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA M. RUTH Owner/Cped 570-271-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 80329719) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2014-03-10 |