Organization
VANTAGE DME
Active
Other names
Vantage Home Respiratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDAL JAMES POULSON CRTT (V.P. REIMBURSEMENT)
(813) 333-9449
Entity
Organization
Contact information
Practice address
3 ORTHOPAEDIC DRIVE, GREENVILLE, PA 16125
(724) 589-5540
(724) 589-5543
Mailing address
3 ORTHOPAEDIC DRIVE, GREENVILLE, PA 16125
(724) 589-5540
(724) 589-5543
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
PA
Other
Enumeration date
06/01/2005
Last updated
08/22/2020
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