Organization
JEFF QUIP, INC.
Active
Other names
The Home Care Network, Jefferson Health System - Rehab Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
RIICHARD M JACOVINI (VICE PRESIDENT)
(484) 580-1400
Entity
Organization
Contact information
Practice address
12 CREEK PKWY, BOOTHWYN, PA 19061-3132
(610) 586-6072
(610) 586-4742
Mailing address
12 CREEK PKWY, BOOTHWYN, PA 19061-3132
(610) 586-6072
(610) 586-4742
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
700003
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007409830007
—
PA
Enumeration date
07/17/2006
Last updated
06/25/2010
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