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Organization

ROYAL HOMESTAR LLC

Active
Other names
HomeStar Medical Equipment
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE J DOUGLAS WILSON (SECRETARY TREASURER CFO)
(610) 420-5657
Entity
Organization

Contact information

Practice address
562 W PENN PIKE, TAMAQUA, PA 18252-5654
(570) 688-7814
(570) 668-7818
Mailing address
77 S COMMERCE WAY, SUITE 230, BETHLEHEM, PA 18017-8917
(484) 526-7600

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/12/2013
Last updated
04/12/2013
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