Royal Homestar, LLC

NPI #1780010389 in Lehighton, Pennsylvania

Provider Information

NPI Number
1780010389
Entity Type
Organization
Organization Name
Royal Homestar, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 16, 2013
Last Updated
Sep 16, 2013

Practice Location

Address
101 S 10TH ST
ZIP Code
18235-1701
Phone
(610) 379-0300

Authorized Official

Name
MICHELE J DOUGLAS WILSON
Title
SECRETARY TREASURER/CFO
Phone
(610) 420-5657

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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Provider Name
Lehigh Valley Physician Group

Part of Lehigh Valley Physician Group

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