Organization
BASIC DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DAVIDSON (MANAGER)
(814) 303-9872
Entity
Organization
Contact information
Practice address
24 E 10TH ST UNIT 602, MARCUS HOOK, PA 19061-4515
(814) 303-9872
Mailing address
24 E 10TH ST UNIT 602, MARCUS HOOK, PA 19061-4515
(814) 303-9872
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
03/11/2024
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