Organization
LLEWELLYNS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH DESANTO (PRESIDENT)
(570) 457-5251
Entity
Organization
Contact information
Practice address
703 MAIN ST, AVOCA, PA 18641
(470) 457-2341
(570) 457-3224
Mailing address
703 MAIN ST, AVOCA, PA 18641-1622
(570) 457-2341
(570) 457-3224
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
PP411400L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017030320001
—
PA
Enumeration date
12/22/2011
Last updated
08/10/2023
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