| NPI | 1982620407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY EDWARD DICK President 814-949-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2011-05-25 |