MEDICARE: GET WELL MEDICAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		PA

General Provider Information

NPI Number	:	1457552176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GET WELL MEDICAL, LLC

Provider Business Mailing Address
First Line	:	PO BOX 795
Second Line	:
City	:	AMBLER
State	:	PA
Zip	:	19002-0795
Country	:	US
Telephone Number	:	215-245-5612
Fax Number	:	215-245-5615

Provider Business Practice Location Address
First Line	:	3000 N 22ND ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19132-1501
Country	:	US
Telephone Number	:	215-223-6548
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. JENNIFER GUARNACCIA
Credential	:
Telephone Number	:	215-245-5615

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	07/21/2022

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