Royal Homestar LLC
NPI #1801239470 in Tamaqua, Pennsylvania
Provider Information
- NPI Number
- 1801239470
- Entity Type
- Organization
- Organization Name
- Royal Homestar LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 12, 2013
- Last Updated
- Apr 12, 2013
Practice Location
- Address
- 562 W PENN PIKE
- City
- Tamaqua
- State
- Pennsylvania
- ZIP Code
- 18252-5654
- Phone
- (570) 688-7814
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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