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Organization

GOOD HEALTH MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSEMARY OKOLO (PRESIDENT)
(215) 232-4909
Entity
Organization

Contact information

Practice address
2254 N BROAD ST, PHILADELPHIA, PA 19132-4501
(215) 232-4909
Mailing address
2254 N BROAD ST, PHILADELPHIA, PA 19132-4501

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
366817
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1016846370001
PA
Enumeration date
11/21/2006
Last updated
08/22/2020
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