Healthcare Provider Details

I. General information

NPI: 1780661264
Provider Name (Legal Business Name): RGD ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2044 FRUITVILLE PIKE
LANCASTER PA
17601-3918
US

IV. Provider business mailing address

2044 FRUITVILLE PIKE
LANCASTER PA
17601-3918
US

V. Phone/Fax

Practice location:
  • Phone: 717-569-4400
  • Fax: 717-569-6906
Mailing address:
  • Phone: 717-569-4400
  • Fax: 717-569-6906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD L GRIFFITH
Title or Position: PRESIDENT
Credential:
Phone: 717-569-4400