Organization
DEFELICECARE, INC.
Active
Other names
DEFELICE MOBILITY
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE P DEFELICE (PRESIDENT & CEO)
(304) 232-4210
Entity
Organization
Contact information
Practice address
688 W MAIN ST, UNIONTOWN, PA 15401-2648
(724) 438-0830
(724) 438-1076
Mailing address
76 SIXTEENTH ST, 200, WHEELING, WV 26003-0618
(304) 232-4210
(304) 232-4213
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
82042591
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
82042591
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007375850010
—
PA
01
—
241170
HIGHMARK BCBS
PA
01
—
C08501970
MEDICARE SUBMITTER ID
WV
Enumeration date
03/22/2007
Last updated
08/02/2012
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