Organization
FRANK A REZK
Active
Other names
Penn Home Medical Supply Co., LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK REZK (OWNER/PRESIDENT)
(814) 471-0627
Entity
Organization
Contact information
Practice address
900 BRYAN ST, SUITE 6A, HUNTINGDON, PA 16652-2413
(814) 506-9920
(814) 506-9921
Mailing address
657 INDUSTRIAL PARK RD, PO BOX 337, EBENSBURG, PA 15931-4111
(814) 471-0627
(814) 471-0639
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3000009280
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017226640002
—
PA
01
—
040020700
DOL
PA
01
—
1505986
GATEWAY
PA
01
—
152805
UNISON
PA
01
—
1535665
UMWA
PA
01
—
297884
HIGHMARK
PA
Enumeration date
09/15/2015
Last updated
07/21/2016
Update your record
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