Organization
BETWEEN FOUR WALLS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA R OAKS (PRESIDENT)
(814) 368-3115
Entity
Organization
Contact information
Practice address
540 E MAIN ST, BRADFORD, PA 16701-1862
(814) 368-3115
(814) 368-3115
Mailing address
540 E MAIN ST, BRADFORD, PA 16701-1862
(814) 368-3115
(814) 368-3115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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