Organization
COMPLETE FAMILY FOOT CARE CENTER,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA M REAVER (OFFICE MANAGER)
(717) 359-5300
Entity
Organization
Contact information
Practice address
340 LUMBER ST, SUITE B, LITTLESTOWN, PA 17340-1668
(717) 359-5300
(717) 359-0775
Mailing address
340 LUMBER ST, SUITE B, LITTLESTOWN, PA 17340-1668
(717) 359-5300
(717) 359-0775
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017012250003
—
PA
Enumeration date
01/04/2008
Last updated
11/17/2008
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