ST MONICA MANOR
Medical Equipment Supplier Yellow Pages
Philadelphia, Pennsylvania
Provider NPI: 1780751123
Organization Information:Organization Name: ST MONICA MANOR
Practice Location:
2509 S 4TH ST PHILADELPHIA, PA 19148 US
Tel: 215-271-1080 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2509 S 4TH ST PHILADELPHIA, PA 19148 US
Tel: 215-271-1080 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | PA | 232602 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NSC DME SUPPLIER # | 5329640001 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin