Organization
MATRIX WOUND SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE ROSENCRANS (PARTNER)
(570) 885-4485
Entity
Organization
Contact information
Practice address
480 PIERCE ST, SUITE 101, KINGSTON, PA 18704-5512
(570) 885-4485
Mailing address
480 PIERCE ST, SUITE 101, KINGSTON, PA 18704-5512
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/06/2014
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