Mid Valley Supply Llc is a health care provider in Shavertown, PA. In this page you will find its mailing address, practice location, phone number, specialty etc.
Basic Information| Practice Location | 170 Blueberry Hill Rd, Shavertown, PA 18708-9507, US | ||
|---|---|---|---|
| Practice Location Phone | 570-696-9754 | ||
| Practice Location Fax | 570-696-9756 | ||
| Legal Business Name | MID VALLEY SUPPLY LLC | ||
| NPI ? | 1881196285 | ||
| Entity Type | Organization | ||
| Enumeration Date ? | Mar 2, 2018 | ||
| Last Update Date ? | Mar 2, 2018 | ||
| Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). | |||
Specialties & Licenses of Mid Valley Supply Llc| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | Suppliers | |||
Authorized Official of Mid Valley Supply LlcAn authorized official is an appointed official with the legal authority to make changes and/or updates to the Mid Valley Supply Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
| Authorized Official | Mr. Carlton E Houck |
|---|---|
| Authorized Official Title/Position | PRESIDENT/OWNER |
| Authorized Official Phone Number | 570-696-8754 |
