Healthcare Provider Details
I. General information
NPI: 1710245972
Provider Name (Legal Business Name): RABEL FURNITURE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2012
Last Update Date: 04/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1330 MAIN ST
DICKSON CITY PA
18519
US
IV. Provider business mailing address
1330 MAIN ST
DICKSON CITY PA
18519
US
V. Phone/Fax
- Phone: 570-489-5168
- Fax: 570-383-7013
- Phone: 570-489-5168
- Fax: 570-383-7013
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MR.
EDWARD
WILLIAM
RABEL
JR.
Title or Position: PRESIDENT
Credential:
Phone: 570-489-5168