Organization
SECOND WIND ENTERPRISES, INC.
Active
Other names
Second Wind Respiratory Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAOMI ROUFS EDWARDS (OWNER/VICE PRESIDENT)
(949) 640-0330
Entity
Organization
Contact information
Practice address
5221A MILITIA HILL RD, PLYMOUTH MEETING, PA 19462-1216
(610) 941-4555
(610) 941-4557
Mailing address
5221A MILITIA HILL RD, PLYMOUTH MEETING, PA 19462-1216
(610) 941-4555
(610) 941-4557
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000553316
—
DE
05
—
01450528
—
PA
05
—
6376002
—
NJ
Enumeration date
08/23/2005
Last updated
12/29/2009
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