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Organization
EVANKO RESPIRATORY, INC
Active
Organization
EVANKO RESPIRATORY, INC
Active
Parent organization
DYNAMIC HEALTHCARE SERVICES INC.
Other names
Dynamic Healthcare Services PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DYNAMIC HEALTHCARE SERVICES INC.
Authorized official
MR. MICHAEL JOHN GRABKO (CEO)
(717) 657-2100
Entity
Organization
Contact information
Practice address
321 BERNER AVE, HAZLETON, PA 18201-7472
(570) 455-4699
(570) 455-3296
Mailing address
35 SARHELM RD, HARRISBURG, PA 17112-3339
(717) 657-2100
(717) 657-2176
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
8000000940
PA
Other
Enumeration date
07/08/2006
Last updated
06/24/2016
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