Organization
SUSQUEHANNA VALLEY MOBILITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH C LIBBY (VICE PRESIDENT)
(570) 246-5300
Entity
Organization
Contact information
Practice address
1085 DANCEHALL RD, MILTON, PA 17847-7717
(570) 246-5300
(570) 246-5310
Mailing address
1085 DANCEHALL RD, MILTON, PA 17847-7717
(570) 246-5300
(570) 246-5310
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
6000006310
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019688510001
—
PA
Enumeration date
06/20/2005
Last updated
12/14/2011
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