Organization
ON-SITE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACEO KHALIFAH (OWNER)
(610) 529-9023
Entity
Organization
Contact information
Practice address
4501 ARAMINGO AVE, PHILADELPHIA, PA 19124-4103
(800) 509-0775
Mailing address
254 W. CHESTER PIKE, SUITE 221, RIDLEY PARK, PA 19078
(610) 529-9023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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