| NPI | 1982993929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WALLACE MCFADDEN President/Owner 570-820-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-10-15 |