Organization
PROVISION POINT LLC
Active
Parent organization
DEBRINA CRUSE
Other names
Debrina Cruse
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEBRINA CRUSE
Authorized official
DEBRINA CRUSE DME (OWNER)
(215) 207-1073
Entity
Organization
Contact information
Practice address
2560 BELMONT AVE, PHILADELPHIA, PA 19131
(215) 207-1073
Mailing address
2560 BELMONT AVE APT 206B, PHILADELPHIA, PA 19131
(215) 207-1073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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