Organization
KEN MAR HOME FURNISHINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W KENNETH PRICE RETAILER (OWNER/PARTNER)
(570) 833-5191
Entity
Organization
Contact information
Practice address
US RT 6, MESHOPPEN, PA 18630
(570) 833-5191
(570) 833-2510
Mailing address
PO BOX 99, MESHOPPEN, PA 18630-0099
(570) 833-5191
(570) 833-2510
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
APPLYING FOR
PA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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