Mid Valley Supply LLC
NPI #1881196285 in Shavertown, Pennsylvania
Provider Information
- NPI Number
- 1881196285
- Entity Type
- Organization
- Organization Name
- Mid Valley Supply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 2, 2018
- Last Updated
- Mar 2, 2018
Practice Location
- Address
- 170 BLUEBERRY HILL RD
- City
- Shavertown
- State
- Pennsylvania
- ZIP Code
- 18708-9507
- Phone
- (570) 696-9754
Authorized Official
- Name
- MR. CARLTON E HOUCK
- Title
- PRESIDENT/OWNER
- Phone
- (570) 696-8754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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