Organization
EARTHWIND MEDICAL CO, LLC
Active
Other names
HEALTHY ALTERNATIVES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA S. BANAS LRCP (PRESIDENT)
(814) 684-7929
Entity
Organization
Contact information
Practice address
RR 3 BOX 158B, TYRONE, PA 16686-9526
(814) 684-7929
(814) 684-7804
Mailing address
RR 3 BOX 158B, TYRONE, PA 16686-9526
(814) 684-7929
(814) 684-7804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000005803
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018864240002
—
PA
Enumeration date
03/05/2007
Last updated
08/22/2020
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