NPI 1881196285
Mid Valley Supply LLC
Practice location
- Address
- 170 Blueberry Hill Rd, Shavertown, PA 18708-9507
- Phone
- (570) 696-9754
- Fax
- (570) 696-9756
Authorised official
- Name
- Carlton E Houck
- Title
- President/Owner
- Phone
- (570) 696-8754
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1881196285
- Entity type
- Organization
- NPI issued
- 2 Mar 2018
- Record last updated
- 2 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.