Organization
PALACE MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILENA CRUZ (PRESIDENT)
(215) 547-8645
Entity
Organization
Contact information
Practice address
1578 HAINES RD, LEVITTOWN, PA 19055
(215) 547-8654
(215) 547-2499
Mailing address
1578 HAINES RD, LEVITTOWN, PA 19055-1820
(215) 547-8645
(215) 547-2499
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
81869141
PA
Other
Enumeration date
04/11/2006
Last updated
12/13/2007
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