# LLEWELLYN'S LTC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LLEWELLYNS INC
- **Other names:** LLEWELLYN'S INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932430998
- **Legal business name:** LLEWELLYNS INC
- **Authorized official:** MR. JOSEPH ROBERT DESANTO (PRESIDENT)
- **Authorized official phone:** (570) 457-2221

## Contact information

- **Practice address:** 703B MAIN ST, AVOCA, PA 18641
- **Practice address phone:** (570) 237-8000
- **Mailing address:** 703 B MAIN ST, AVOCA, PA 18641
- **Mailing address phone:** (570) 457-2221
- **Mailing address fax:** (570) 457-3224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PP411400L | PA | Yes |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 01/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017030320001 | — | PA |