Organization
DURALIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN DAY (PRESIDENT)
(570) 323-9743
Entity
Organization
Contact information
Practice address
195 PHILLIPS PARK DR, SUITE 6, SOUTH WILLIAMSPORT, PA 17702-7067
(570) 323-9743
Mailing address
195 PHILLIPS PARK DR, SUITE 6, SOUTH WILLIAMSPORT, PA 17702-7067
(570) 323-9743
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
PA-23553
PA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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