| NPI | 1952633018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSLAN SHKURMAN Owner 215-525-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2010-01-31 |
| Last Update Date | 2010-01-31 |