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.
Practice Location | 170 Blueberry Hill Rd, Shavertown, PA 18708-9507, US | ||
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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). | |||
Specialty | Provider Type | Specialization | License | License State |
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Durable Medical Equipment & Medical Supplies | Suppliers | |||
An 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 |
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Authorized Official Title/Position | PRESIDENT/OWNER |
Authorized Official Phone Number | 570-696-8754 |